Mrs. Bunny, The Clown Agreement
ONLINE
Please Send Completed Contract With Deposit

Customer Information

Name:_______________________________________ Address:_____________________________________

City/State/Zip:______________________________________________ Phone:_________________ Cell:_________________

Date of Event: ___________   Contact Name & Phone:____________________________________ (if different from customer)

Event Address:_____________________________________ City/State/Zip:__________________________________________

My Start Time: ________ My End Time: _________    Name of Recipient:______________________________    Age:_______

Check Your Choice(s)

___Basic-1 hr. $125 (up to 15 kids) ___Bonus-1 1/2 hr. $185 (16-22 kids) ___Deluxe-2 hrs. $235 (23-30 kids) ___Magic Show $60

___Large Events $300.00 (2 hr. minimum)     ___Non-Profit $180 (2 hr. minimum)    Singing Telegrams: ___Child $35     ___Adult $55

Extras:   ___Hour $110    ___ ½ Hour $60   ___Drive Time $10    ___Last Minute Fee $10 ____$175 SPECIAL

Deposit:______________              Remaining Balance:____________     Total Amount: ______________

___Cash    ___Paypal.com    ___ Money order/check #________________________________________ *

*Payable to:

Cheryl M. Henderson
6623 Alder Avenue
Berkeley, MO 63134

To cancel, please call within 48 hrs. of event to receive your refund. Refunds are in the same
mode as payment (minus $25 schedule fee).
$35.00 returned check fee in addition to all applicable bank fees.

How many children? ____________ Special Instructions _________________________________________
Is the party: Inside___ Outside___ Notes_____________________________________________________

The Agreement:

With our signatures, the customer and I, Cheryl M. Henderson, aka Mrs. Bunny, The Clown, agree that
I will provide the service and the customer will pay the agreed upon fee 14 days before event date.

Customer: Print_________________________________________ /Sign________________________________________
Date____________

Cheryl M. Henderson Signature_____________________________________ Date:__________

For correspondence through U.S. Post Office, you will be mailed a receipt for each payment and the confirmation card with your final payment.

For online correspondence, please keep copies of each payment.

Any questions? Contact Cheryl M. Henderson 314-522-9978 or 314-750-7094 (10a-10p, Mon-Sat) Email: carchero@prodigy.net

This is a Christian-based service and reserves the right to refuse any engagement that it deems spiritually unhealthy.

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